Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

NPI: 1730254681 · HYATTSVILLE, MD 20785 · Health Maintenance Organization · NPI assigned 11/22/2006

$32K
Total Medicaid Paid
7,129
Total Claims
6,041
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSWINTON, COLLEEN (DIRECTOR, CREDENTIALING)
NPI Enumeration Date11/22/2006

Related Entities

Other providers sharing the same authorized official: SWINTON, COLLEEN

ProviderCityStateTotal Paid
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC ANNAPOLIS MD $18K
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC ROCKVILLE MD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 948 $3K
2020 147 $113.79
2021 1,063 $22K
2022 619 $3K
2023 1,517 $1K
2024 2,835 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 445 436 $12K
0002A 289 286 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 58 46 $4K
36415 Collection of venous blood by venipuncture 1,578 1,273 $2K
80051 773 617 $943.52
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 22 18 $869.67
85027 427 378 $590.13
82565 690 549 $586.06
84520 731 590 $539.34
85025 Blood count; complete (CBC), automated, and automated differential WBC count 363 305 $527.52
83036 Hemoglobin; glycosylated (A1C) 196 186 $508.39
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13 12 $435.51
84443 Thyroid stimulating hormone (TSH) 137 126 $431.80
82947 598 484 $362.40
80076 197 170 $347.42
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 69 65 $181.18
86803 32 29 $99.89
86708 13 12 $74.34
87340 14 13 $72.31
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 12 $66.53
82570 14 14 $65.78
86706 14 13 $62.65
82043 13 13 $48.29
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13 12 $48.16
80061 Lipid panel 59 56 $40.17
81001 114 108 $37.99
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 55 51 $35.09
83721 57 54 $31.50
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 25 $27.72
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 34 31 $25.00
81025 12 12 $7.30
S9999 Sales tax 19 15 $0.00
91300 18 18 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 12 $0.00